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1376005793
JOSEPHINE KIM
INDIANAPOLIS, IN
NPI
1376005793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 02006772A)
Enumeration Date
2019-04-03
Last Update Date
2022-08-19
Business Address
JOSEPHINE KIM DO
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1695
Phone number: 317-621-6262
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Mailing Address
JOSEPHINE KIM DO
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7584
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